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职位介绍

Cube Healthcare Systems is a subsidiary of the US Based Healthcare IT Company; ALTUMED, providing healthcare solutions to the clients based in the US. Presently, CHS is the biggest company at KPITB, with fast growing healthcare IT services and product base.

As a healthcare solution provider, CHS is successfully carrying out revenue management services for its clients based in the USA. Our product: ALTUMED, a Revenue Cycle Management Software takes Medical Billing to another degree of automation and advancement.

In Pakistan, with our main Office in Abbottabad, AltuMed has offices in Lahore and Islamabad as well where the business teams are working to improve the user experience and process for the clients.

We, at AltuMed, are currently looking for a Credentialing Analyst in our Medical Billing Department at our Abbottabad Office.

REQUIREMENT

3+ years of experience with:

- Setting up and maintaining provider information in online credentialing databases and system

- Upon receipt of notification from On Boarding / Account Team from US, initiate the provider enrollment process. Enter all provider information obtained via the client intake form in database and generate all necessary payer application forms.

- Conducting reimbursement enrollment to ensure that all providers are able to bill for services on a timely basis.

- Ensuring practice addresses are current with health plans, agencies and other entities

- Completing provider credentialing and recredentialing applications; monitoring applications and follows-up as needed.

Maintaining copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.

- Maintaining direct communication with Practice manager/client to ensure the appropriate and timely enrollment of their providers. Escalating issues that require additional attention before they become a major problem.

- Communicating with insurance carriers regarding receipt of applications, statuses of applications, fee negotiations, authorized services, effective date and required attachments/documents receipts and the offer letter/approved letter copy with provider manual/policy.

- Serving as liaison with the Marketing/on boarding Department, ensuring complete and accurate provider information in the provider database for use in provider directories, yellow pages, and internet. Perform uploads of provider database information to the searchable provider database portions of intranet/Internet sites including all insurances providers search portals.

REPORTING STRUCTURE

- Send reports to billing operations manager on all matters relating to credentialing follow up and enrollment requirements daily, weekly, monthly.

- Send reports to Ops Manager Billing and Client Practice Manager on all other practice credentialing issues, with insurance and billing.

- Send monthly status reports to Billing CRM for our billing clients.

- Send credentialing detail report including completed accounts, payer client vise status, all open issues/payer and client in process reports, to management monthly.

- Quarterly and monthly review of your team performance and evolution reports to HR and management

- User Audits and quality reports to PM Billing.

COMPENSATION

Market competitive salary, accommodation allowance, health insurance, paid holidays etc.

 

工作详细内容

全部职位:
1 发布
工作时间:
轮班制
工作类型:
性别:
没有偏好
最低学历:
学士
职位等级:
资深专业人员
经验:
3年 - 4年
在之前申请:
Nov 29, 2019
发布日期:
Oct 29, 2019
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ALTUMED

· 51-100 员工 - 阿伯塔巴德, 伊斯兰堡

Cube Healthcare Systems is a subsidiary of the US Based Healthcare IT Company; ALTUMED, providing healthcare solutions to the clients based in the US. Presently, CHS is the biggest company at KPITB, with fast growing healthcare IT services and product base. Altumed team of talented and well-coordina ...阅读更多

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